Breast Lift (Mastopexy): Procedure, Candidacy, Risks, and Long-Term Results
What Is Mastopexy?
A surgical procedure to raise and reshape ptotic (sagging) breasts by removing excess skin, tightening surrounding tissue, and repositioning the nipple-areola complex.
Ideal Candidates
- Sagging due to aging, weight loss, pregnancy, breastfeeding.
- Asymmetric breasts.
- Enlarged areolas.
- Stable weight, non-smoker, realistic expectations.
Procedure Overview
- General anesthesia; 2–3 hours.
- Incision patterns: periareolar (donut), vertical (lollipop), or inverted-T (anchor) based on ptosis degree.
- Excess skin excised; parenchyma reshaped; NAC elevated.
- Drains occasionally; supportive bra postoperatively.
Risks
- Bleeding, infection, hematoma/seroma.
- Scarring (permanent but fades).
- Nipple sensation changes (temporary or permanent).
- Asymmetry, contour irregularities.
- Breastfeeding difficulty (ducts may be disrupted).
Longevity
Results are long-lasting but not immune to gravity, aging, weight fluctuations, or pregnancy. Maintenance with supportive bras and stable weight helps.
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